Adult Health Urinary Quiz

A patient informs the nurse that every time she sneezes or coughs, she urinates in her pants. What type of incontinence does the nurse recognize the patient is experiencing? a- Iatrogenic incontinence b- Stress incontinence c- Functional incontinence d- Urge incontinence

b- Stress incontinence

A client has experienced occasional urinary incontinence in the weeks since his prostatectomy. In order to promote continence, the nurse should encourage which of the following? a- Active range of motion exercises b- Pelvic floor exercises c- Reduced physical activity d- Intermittent urinary catheterization

b- Pelvic floor exercises

A client comes to the clinic for a follow-up visit. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." The nurse suspects that the client is experiencing which type of incontinence? a- Overflow b- Urge c- Stress d- Functional

b- Urge

After undergoing retropubic prostatectomy, a client returns to his room. The client is on nothing-by-mouth status and has an IV infusing in his right forearm at a rate of 100 ml/hour. The client also has an indwelling urinary catheter that's draining light pink urine. While assessing the client, the nurse notes that his urine output is red and has dropped to 15 ml and 10 ml for the last 2 consecutive hours. How can the nurse best explain this drop in urine output? a- It's a normal finding caused by blood loss during surgery. b- It's a normal finding associated with the client's nothing-by-mouth status. c- It's an abnormal finding that requires further assessment. d- It's an abnormal finding that will correct itself when the client ambulates.

c- It's an abnormal finding that requires further assessment.

A patient has had surgery to create an ileal conduit for urinary diversion. What is a priority intervention by the nurse in the postoperative phase of care? a- Turn the patient every 2 hours around the clock. b- Administer pain medication every 2 hours. c- Monitor urine output hourly and report output less than 30 mL/hr. d- Clean the stoma with soap and water after the patient voids.

c- Monitor urine output hourly and report output less than 30 mL/hr.

A nurse has been asked to speak to a local women's group about preventing cystitis. Which of the following would the nurse include in the presentation? a- Suggestion to take tub baths instead of showers b- Importance of urinating every 4 to 6 hours while awake c- Need to urinate after engaging in sexual intercourse d- Need to wear underwear made from synthetic material

c- Need to urinate after engaging in sexual intercourse

A client reports urinary frequency, urgency, and dysuria. Which of the following would the nurse most likely suspect? a- Obstruction of the lower urinary tract b- Acute renal failure c- infection d- Nephrotic syndrome

c- infection

A client is scheduled for a transurethral resection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met? a- "I'll have to stay in the hospital for about 3 to 4 days after the surgery." b- "I'll have a small incision on my lower abdomen after the procedure." c- "The surgeon is going to remove the entire prostate gland." d- "The surgeon is going to insert a scope through my urethra to remove a portion of the gland."

d- "The surgeon is going to insert a scope through my urethra to remove a portion of the gland."

When fluid intake is normal, the specific gravity of urine should be: a- 1.000. b- less than 1.010. c- greater than 1.025. d- 1.010 to 1.025.

d- 1.010 to 1.025.

A woman comes to her health care provider's office with signs and symptoms of kidney stones. Which of the following should be the primary medical management goal? a- Prevent nephron destruction. b- Determine the stone type. c- Relieve any obstruction. d- Relieve the pain.

d- Relieve the pain.